| NPI | 1659354975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLINA DAMIANOU Owner President Dentist 718-899-5309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 0406371) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2010-07-28 |